DR. KEITH RANDALL GOULD DO
Prescription History 1285659607
Emergency Medicine in Paris, TN
Medicare Part D Prescription History
Explore the verified Medicare Part D prescription history, volume metrics, and calculated drug costs for DR. KEITH RANDALL GOULD DO, an active Emergency Medicine specialist practicing in Paris, TN. Our medical registry currently tracks 16 unique pharmaceutical formulations prescribed by this provider, representing an estimated volume of 743 documented patient claims. Among these therapy options, the most frequently utilized medication is Prednisone, which accounts for 181 claims alone. Use the table below to sort by claims, cost, or utilization compared with the state average; select any medication for its full profile.
| Medication | Prescriptions (2024)Rx (2024) | Avg Cost per FillCost / Fill | Vs. Other TN PrescribersVs. TN Avg |
|---|---|---|---|
| Prednisone | 181 | $1.60▼ below TN avg | ▲ More than typical |
About Prednisone: Prednisone is used to treat conditions such as arthritis, blood disorders, breathing problems, severe allergies, skin diseases, cancer, eye problems, and immune system disorders. Show more ▾ Prednisone belongs to a class of drugs known as corticosteroids. It decreases your immune system's response to various diseases to reduce symptoms such as swelling and allergic-type reactions. A synthetic anti-inflammatory glucocorticoid derived from CORTISONE. It is biologically inert and converted to PREDNISOLONE in the liver. In 2024, this provider wrote 181 Medicare prescriptions for Prednisone, about 3.4 times the volume of the typical Tennessee prescriber of this medication (53.8). Medicare paid an average of $1.60 per fill, versus $4.53 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average TN prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider's average cost per fill is below the TN average for this medication. 181 30-Day Fills standardized to 30-day supplies 1,401 Days of Medication total across all patients in 2024 | |||
| Azithromycin | 110 | $3.81▼ below TN avg | ▲ More than typical |
About Azithromycin: Azithromycin is used to treat a wide variety of bacterial infections. Show more ▾ It is a macrolide-type antibiotic. It works by stopping the growth of bacteria. This medication will not work for viral infections (such as common cold, flu). Unnecessary use or misuse of any antibiotic can lead to its decreased effectiveness. A semi-synthetic macrolide antibiotic structurally related to ERYTHROMYCIN. It has been used in the treatment of Mycobacterium avium intracellulare infections, toxoplasmosis, and cryptosporidiosis. In 2024, this provider wrote 110 Medicare prescriptions for Azithromycin, about 2.9 times the volume of the typical Tennessee prescriber of this medication (38). Medicare paid an average of $3.81 per fill, versus $6.01 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average TN prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider's average cost per fill is below the TN average for this medication. 110 30-Day Fills standardized to 30-day supplies 553 Days of Medication total across all patients in 2024 | |||
| Ciprofloxacin Hcl | 100 | $6.64▼ below TN avg | ▲ More than typical |
About Ciprofloxacin Hcl: This medication is used to treat a variety of bacterial infections. Show more ▾ Ciprofloxacin belongs to a class of drugs called quinolone antibiotics. It works by stopping the growth of bacteria. This antibiotic treats only bacterial infections. It will not work for virus infections (such as common cold, flu). Using any antibiotic when it is not needed can cause it to not work for future infections. A broad-spectrum antimicrobial carboxyfluoroquinoline. In 2024, this provider wrote 100 Medicare prescriptions for Ciprofloxacin Hcl, about 3.3 times the volume of the typical Tennessee prescriber of this medication (30.2). Medicare paid an average of $6.64 per fill, versus $7.13 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average TN prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider's average cost per fill is below the TN average for this medication. 100 30-Day Fills standardized to 30-day supplies 772 Days of Medication total across all patients in 2024 | |||
| Sulfamethoxazole-TrimethoprimSulfamethoxazole/Trimethoprim | 54 | $4.36▼ below TN avg | ▲ More than typical |
About Sulfamethoxazole-Trimethoprim: This medication is a combination of two antibiotics: sulfamethoxazole and trimethoprim. Show more ▾ It is used to treat a wide variety of bacterial infections (such as middle ear, urine, respiratory, and intestinal infections). It is also used to prevent and treat a certain type of pneumonia (pneumocystis-type). This medication should not be used by children less than 2 months of age due to the risk of serious side effects. This medication treats only certain types of infections. It will not work for viral infections (such as flu). Unnecessary use or misuse of any antibiotic can lead to its decreased effectiveness. In 2024, this provider wrote 54 Medicare prescriptions for Sulfamethoxazole-Trimethoprim, about 2 times the volume of the typical Tennessee prescriber of this medication (26.8). Medicare paid an average of $4.36 per fill, versus $5.26 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average TN prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider's average cost per fill is below the TN average for this medication. 54 30-Day Fills standardized to 30-day supplies 415 Days of Medication total across all patients in 2024 | |||
| Ondansetron OdtOndansetron | 47 | $7.46▼ below TN avg | ▲ More than typical |
About Ondansetron Odt: This medication is used alone or with other medications to prevent nausea and vomiting caused by cancer drug treatment (chemotherapy) and radiation therapy. Show more ▾ It is also used to prevent and treat nausea and vomiting after surgery. Ondansetron works by blocking one of the body's natural substances (serotonin) that causes vomiting. A competitive serotonin type 3 receptor antagonist. It is effective in the treatment of nausea and vomiting caused by cytotoxic chemotherapy drugs, including cisplatin, and has reported anxiolytic and neuroleptic properties. In 2024, this provider wrote 47 Medicare prescriptions for Ondansetron Odt, about 1.6 times the volume of the typical Tennessee prescriber of this medication (29.5). Medicare paid an average of $7.46 per fill, versus $13.38 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average TN prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider's average cost per fill is below the TN average for this medication. 47 30-Day Fills standardized to 30-day supplies 144 Days of Medication total across all patients in 2024 | |||
| Ketorolac Tromethamine | 39 | $17.65▼ below TN avg | ▼ Less than typical |
About Ketorolac Tromethamine: This medication is used to temporarily relieve itching eyes caused by seasonal allergies. Show more ▾ It is also used to prevent and treat eye swelling due to a certain type of eye surgery (cataract removal). Ketorolac belongs to a class of drugs known as nonsteroidal anti-inflammatory drugs (NSAIDs). It works by blocking certain natural substances in your body to reduce pain and swelling. A pyrrolizine carboxylic acid derivative structurally related to INDOMETHACIN. It is a non-steroidal anti-inflammatory agent used for analgesia for postoperative pain and inhibits cyclooxygenase activity. In 2024, this provider wrote 39 Medicare prescriptions for Ketorolac Tromethamine, about 64% of the volume of the typical Tennessee prescriber of this medication (61.1). Medicare paid an average of $17.65 per fill, versus $23.22 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average TN prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider's average cost per fill is below the TN average for this medication. 39 30-Day Fills standardized to 30-day supplies 180 Days of Medication total across all patients in 2024 | |||
| Pantoprazole Sodium | 37 | $5.36▼ below TN avg | ▼ Less than typical |
About Pantoprazole Sodium: Pantoprazole is used to treat certain stomach and esophagus problems (such as acid reflux). Show more ▾ It works by decreasing the amount of acid your stomach makes. This medication relieves symptoms such as heartburn, difficulty swallowing, and cough. It helps heal acid damage to the stomach and esophagus, helps prevent ulcers, and may help prevent cancer of the esophagus. Pantoprazole belongs to a class of drugs known as proton pump inhibitors (PPIs). 2-pyridinylmethylsulfinylbenzimidazole proton pump inhibitor that is used in the treatment of GASTROESOPHAGEAL REFLUX and PEPTIC ULCER. In 2024, this provider wrote 37 Medicare prescriptions for Pantoprazole Sodium, about a third of the volume of the typical Tennessee prescriber of this medication (97.3). Medicare paid an average of $5.36 per fill, versus $12.17 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average TN prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider's average cost per fill is below the TN average for this medication. 37 30-Day Fills standardized to 30-day supplies 1,015 Days of Medication total across all patients in 2024 | |||
| Clindamycin Hcl | 29 | $7.11▼ below TN avg | ≈ Typical |
About Clindamycin Hcl: Clindamycin is used to treat a wide variety of bacterial infections. Show more ▾ It is an antibiotic that works by stopping the growth of bacteria. This antibiotic treats only bacterial infections. It will not work for virus infections (such as common cold, flu). Using any antibiotic when it is not needed can cause it to not work for future infections. An antibacterial agent that is a semisynthetic analog of LINCOMYCIN. In 2024, this provider wrote 29 Medicare prescriptions for Clindamycin Hcl, about 1.2 times the volume of the typical Tennessee prescriber of this medication (23.6). Medicare paid an average of $7.11 per fill, versus $8.34 statewide. How often this provider prescribes it This provider's prescribing volume for this medication is in line with the average TN prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider's average cost per fill is below the TN average for this medication. 29 30-Day Fills standardized to 30-day supplies 218 Days of Medication total across all patients in 2024 | |||
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 29 | $3.78▼ below TN avg | ▼ Less than typical |
About Hydrocodone-Acetaminophen: This combination medication is used to relieve moderate to severe pain. Show more ▾ It contains an opioid pain reliever (hydrocodone) and a non-opioid pain reliever (acetaminophen). Hydrocodone works in the brain to change how your body feels and responds to pain. Acetaminophen can also reduce a fever. In 2024, this provider wrote 29 Medicare prescriptions for Hydrocodone-Acetaminophen, about a third of the volume of the typical Tennessee prescriber of this medication (98.9). Medicare paid an average of $3.78 per fill, versus $19.65 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average TN prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider's average cost per fill is below the TN average for this medication. 29 30-Day Fills standardized to 30-day supplies 87 Days of Medication total across all patients in 2024 | |||
| Metronidazole | 26 | $19.82▼ below TN avg | ▲ More than typical |
About Metronidazole: Metronidazole is an antibiotic that is used to treat a wide variety of infections. Show more ▾ It works by stopping the growth of certain bacteria and parasites. This antibiotic treats only certain bacterial and parasitic infections. It will not work for viral infections (such as common cold, flu). Using any antibiotic when it is not needed can cause it to not work for future infections. Metronidazole may also be used with other medications to treat certain stomach/intestinal ulcers caused by a bacteria (H. pylori). A nitroimidazole used to treat AMEBIASIS; VAGINITIS; TRICHOMONAS INFECTIONS; GIARDIASIS; ANAEROBIC BACTERIA; and TREPONEMAL INFECTIONS. In 2024, this provider wrote 26 Medicare prescriptions for Metronidazole, about 1.3 times the volume of the typical Tennessee prescriber of this medication (20.8). Medicare paid an average of $19.82 per fill, versus $27.22 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average TN prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider's average cost per fill is below the TN average for this medication. 26 30-Day Fills standardized to 30-day supplies 245 Days of Medication total across all patients in 2024 | |||
| Cyclobenzaprine Hcl | 22 | $4.02▼ below TN avg | ▼ Less than typical |
About Cyclobenzaprine Hcl: Cyclobenzaprine is used short-term to treat muscle spasms. Show more ▾ It is usually used along with rest and physical therapy. It works by helping to relax the muscles. Lisseril is synonymous for HCl; structure. In 2024, this provider wrote 22 Medicare prescriptions for Cyclobenzaprine Hcl, about half the volume of the typical Tennessee prescriber of this medication (41.3). Medicare paid an average of $4.02 per fill, versus $8.70 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average TN prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider's average cost per fill is below the TN average for this medication. 22 30-Day Fills standardized to 30-day supplies 375 Days of Medication total across all patients in 2024 | |||
| Amoxicillin-Clavulanate PotassAmoxicillin/Potassium Clav | 16 | $10.14▼ below TN avg | ▼ Less than typical |
About Amoxicillin-Clavulanate Potass: Amoxicillin/clavulanic acid is a combination penicillin-type antibiotic used to treat a wide variety of bacterial infections. Show more ▾ It works by stopping the growth of bacteria. This antibiotic treats only bacterial infections. It will not work for viral infections (such as common cold, flu). Using any antibiotic when it is not needed can cause it to not work for future infections. In 2024, this provider wrote 16 Medicare prescriptions for Amoxicillin-Clavulanate Potass, about half the volume of the typical Tennessee prescriber of this medication (30.7). Medicare paid an average of $10.14 per fill, versus $10.81 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average TN prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider's average cost per fill is below the TN average for this medication. 16 30-Day Fills standardized to 30-day supplies 150 Days of Medication total across all patients in 2024 | |||
| Tramadol Hcl | 16 | $1.43▼ below TN avg | ▼ Less than typical |
About Tramadol Hcl: See also Warning section. Show more ▾ This medication is used to help relieve moderate to moderately severe pain. Tramadol belongs to a class of drugs known as opioid analgesics. It works in the brain to change how your body feels and responds to pain. A narcotic analgesic proposed for severe pain. It may be habituating. In 2024, this provider wrote 16 Medicare prescriptions for Tramadol Hcl, about a third of the volume of the typical Tennessee prescriber of this medication (54.5). Medicare paid an average of $1.43 per fill, versus $6.85 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average TN prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider's average cost per fill is below the TN average for this medication. 16 30-Day Fills standardized to 30-day supplies 48 Days of Medication total across all patients in 2024 | |||
| Meclizine Hcl | 14 | $4.64▼ below TN avg | ▼ Less than typical |
About Meclizine Hcl: Meclizine is an antihistamine that is used to prevent and treat nausea, vomiting, and dizziness caused by motion sickness. Show more ▾ It may also be used to reduce dizziness and loss of balance (vertigo) caused by inner ear problems. A histamine H1 antagonist used in the treatment of motion sickness, vertigo, and nausea during pregnancy and radiation sickness. In 2024, this provider wrote 14 Medicare prescriptions for Meclizine Hcl, about half the volume of the typical Tennessee prescriber of this medication (25). Medicare paid an average of $4.64 per fill, versus $9.88 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average TN prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider's average cost per fill is below the TN average for this medication. 14 30-Day Fills standardized to 30-day supplies 128 Days of Medication total across all patients in 2024 | |||
| Albuterol Sulfate HfaAlbuterol Sulfate | 12 | $17.21▼ below TN avg | ▼ Less than typical |
About Albuterol Sulfate Hfa: Albuterol (also known as salbutamol) is used to prevent and treat wheezing and shortness of breath caused by breathing problems (such as asthma, chronic obstructive pulmonary disease). Show more ▾ It is also used to prevent asthma brought on by exercise. It is a quick-relief drug. Albuterol belongs to a class of drugs known as bronchodilators. It works by relaxing the muscles around the airways so that they open up and you can breathe more easily. Controlling symptoms of breathing problems can decrease time lost from work or school. A short-acting beta-2 adrenergic agonist that is primarily used as a bronchodilator agent to treat ASTHMA. Albuterol is prepared as a racemic mixture of R(-) and S(+) stereoisomers. The stereospecific preparation of R(-) isomer of albuterol is referred to as levalbuterol. In 2024, this provider wrote 12 Medicare prescriptions for Albuterol Sulfate Hfa, about 16% of the volume of the typical Tennessee prescriber of this medication (75.4). Medicare paid an average of $17.21 per fill, versus $27.69 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average TN prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider's average cost per fill is below the TN average for this medication. 17.3 30-Day Fills standardized to 30-day supplies 505 Days of Medication total across all patients in 2024 | |||
| Lactulose | 11 | $8.25▼ below TN avg | ▼ Less than typical |
About Lactulose: This medication is a laxative used to treat constipation. Show more ▾ It may help to increase the number of bowel movements per day and the number of days you have a bowel movement. Lactulose is a colonic acidifier that works by increasing stool water content and softening the stool. It is a man-made sugar solution. A synthetic disaccharide used in the treatment of constipation and hepatic encephalopathy. It has also been used in the diagnosis of gastrointestinal disorders. (From Martindale, The Extra Pharmacopoeia, 30th ed, p887) In 2024, this provider wrote 11 Medicare prescriptions for Lactulose, about a third of the volume of the typical Tennessee prescriber of this medication (29.9). Medicare paid an average of $8.25 per fill, versus $25.74 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average TN prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider's average cost per fill is below the TN average for this medication. 11.3 30-Day Fills standardized to 30-day supplies 309 Days of Medication total across all patients in 2024 | |||
About this data. The prescription history for DR. KEITH RANDALL GOULD DO is compiled from the Centers for Medicare & Medicaid Services (CMS) Medicare Part D Prescriber Public Use File for calendar year 2024, the most recent federal release. Figures cover prescriptions filled for Medicare Part D beneficiaries only; prescriptions under private insurance, Medicaid, or self-pay plans are not included. Because prescribing decisions are generally consistent across coverage types, this record offers a useful view of the overall Emergency Medicine prescribing approach at this Paris, TN practice.
Reading the costs. Drug costs are gross amounts paid to pharmacies under Part D, including both plan and beneficiary payments. They are not the price a patient pays at the pharmacy counter. Medications with fewer than 11 claims are excluded from the federal source data, and state comparisons use the average among TN prescribers of the same medication and form, shown only when at least five prescribers contribute. Always confirm current medications and costs directly with the provider and your plan.
About the medication summaries. Drug use descriptions come from the CMS Medicare Part D Drug Spending Dashboard (2024), and substance definitions from Medical Subject Headings (MeSH) 2026, U.S. National Library of Medicine. They are summaries that do not contain all possible information about a medication and are not individual medical advice. Ask a health care professional about any medication and your specific health needs.
